Table 4.

Reasons for Referral/Nonreferral to Cancer Genetics Professionals (n = 795)

Reason	n	Percenta
Referring physician (n = 430)
No expertise	297	69.1
Patient request	229	53.3
No time to address patient concerns	108	25.1
Liability concerns	92	21.4
New referral guidelines	72	16.7
Other	42	9.8
Nonreferring physician (n = 365)
Uncertain which patients to refer	140	38.3
Concerns about cost for counseling/testing	136	37.2
Unknown method of referral	90	24.6
Location of referral inconvenient for patient	83	22.7
No appropriate patients	66	18.0
Information not useful in patient management	34	9.3
Initiated testing themselves	33	9.0
Other	30	8.2

^aPercentages will not sum to 100% as multiple methods could be cited by each respondent.